Provider Demographics
NPI:1003249582
Name:HAYNES, DEVON C (LMHC)
Entity Type:Individual
Prefix:
First Name:DEVON
Middle Name:C
Last Name:HAYNES
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5006 RENTON AVE S APT 123
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-1968
Mailing Address - Country:US
Mailing Address - Phone:206-954-3175
Mailing Address - Fax:
Practice Address - Street 1:5006 RENTON AVE S APT 123
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-1968
Practice Address - Country:US
Practice Address - Phone:206-954-3175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-19
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA603319754101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health